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NCT Number: NCT07531641

From Screening to Safety: Implementing the AL-STEADI Initiative in Assisted Living Communities

The goal of this trial is to test the real-world efficacy of AL-STEADI, a fall prevention program, in participating assisted living centers. The investigators will randomly assign residents from participating assisted living centers who screen at-risk of falling to either existing fall monitoring protocols or the enhanced AL-STEADI fall prevention program. The investigators will evaluate the effect of AL-STEADI on the rate of falls over 12 months. The investigators will also closely monitor implementation fidelity in these participating assisted living centers.

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Key information

Conditions

Fall Fall Injury Prevention Fall Prevention

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Living in participating assisted living communities

Exclusion criteria

  • Not living in participating assisted living communities

Treatment and study plan

AL-STEADI

Behavioral

STEADI is an evidence-based falls prevention program developed by the CDC and tested in several community-based settings. STEADI involves universal fall screening, followed by personalized assessments and tailored interventions. Common, potentially modifiable causes of falls evaluated in STEADI include medication interactions or side effects, environmental hazards (e.g., floor rugs, thresholds), untreated visual impairment, low vitamin D, ill-fitting footwear, or low blood pressure. AL-STEADI is a modified version of STEADI for assisted living.

Usual Care Group

Behavioral

Typical fall prevention practices, including increased monitoring by assisted living staff

Primary outcomes

  1. Fall rate

    Time frame: 12 person-months

    Number of staff documented falls per 12 non-censored person-months, among individuals who screen at-risk for falls

Secondary outcomes

  1. Proportion of fall-risk residents with any fall

    Time frame: 12 person-months

    Proportion of residents with any staff documented fall during follow-up, among individuals who screen at-risk for falls

  2. Injurious fall rate among fall-risk residents

    Time frame: 12 person-months

    Number of staff documented injurious falls per 12 non-censored person-months, among individuals who screen at-risk for falls

  3. Proportion of fall-risk residents with any injurious fall

    Time frame: 12 person-months

    Proportion of residents with any staff documented injurious fall during follow-up, among individuals who screen at-risk for falls

  4. Hospital transfer rate among fall-risk residents

    Time frame: 12 person-months

    Number of hospital transfers per 12 non-censored person-months, among individuals who screen at-risk for falls

  5. Proportion of fall-risk residents with any hospital transfer

    Time frame: 12 person-months

    Proportion of residents with any hospital transfers during follow-up, among individuals who screen at-risk for falls

  6. Hospitalization rate among fall-risk residents

    Time frame: 12 person-months

    Number of in-patient hospitalizations per 12 non-censored person-months, among individuals who screen at-risk for falls

  7. Proportion of fall-risk residents with any hospitalization

    Time frame: 12 person-months

    Proportion of residents with any in-patient hospitalization during follow-up, among individuals who screen at-risk for falls

  8. Skilled nursing stay rate among fall-risk residents

    Time frame: 12 person-months

    Number of skilled nursing stays per 12 non-censored person-months, among individuals who screen at-risk for falls

  9. Proportion of fall-risk residents with any skilled nursing stay

    Time frame: 12 person-months

    Proportion of residents with any skilled nursing stay during follow-up, among individuals who screen at-risk for falls

Interested in participating?

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Sponsors and collaborators

Lead sponsor

Brown University

Other

Registry information

Acronym: AL-STEADI

Important dates

Study start
2027
Primary completion
2029
Study completion
2029
First posted
Apr 15, 2026
Registry last updated
Sep 15, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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